Anderson, John J
Anderson, John J is an individual health care provider with primary practice located at 2301 Indian Wells Rd Suite A, Alamogordo NM 88310-4607. He recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Anderson, John J can be contacted via phone (575) 434-0639.Contact Information
Primary practice address
2301 Indian Wells Rd Suite A
Alamogordo NM 88310-4607
Phone: (575) 434-0639
Fax: (575) 434-4148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 284 | New Mexico |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 284 | New Mexico |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 284 | New Mexico |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 284 | New Mexico |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 284 | New Mexico |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 284 | New Mexico |
Profile Details
| NPI number | 1235101940 |
|---|---|
| LBN Legal business name | Anderson, John J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Nov 17th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235101940 | NPPES |
| New Mexico | Other | 201038108 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | MEDICAID | 000L1222 | PRESBYTERIAN HEALTH PLAN |
| New Mexico | Other | NM005A02 | PRESBYTERIAN HEALTH PLAN |
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